Payment overview · 2025
General Payments
$1,226.51
46 reported records · 25 companies
Healthcare provider profile · identity verified
Merla E Puray, M.D.
Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology · MERCED, CA · NPI 1952314205
Verified facts
What the public records show
CMS Open Payments records show Merla E Puray, M.D. received $1,226.51 in general payments during 2025 across 46 reported records.
AstraZeneca Pharmaceuticals LP accounted for 20.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 33 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Jakafi, Kisqali, Tagrisso.
AstraZeneca Pharmaceuticals LP reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported TAGRISSO as an associated drug or biological on 5285 records involving 2776 distinct recipient NPIs. Public Medicare Part D data also shows 14 claims for Tagrisso by this doctor in 2024.
Incyte Corporation reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported JAKAFI as an associated drug or biological on 14854 records involving 6477 distinct recipient NPIs. Public Medicare Part D data also shows 91 claims for Jakafi by this doctor in 2024.
Novartis Pharmaceuticals Corporation reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported KISQALI as an associated drug or biological on 31637 records involving 7959 distinct recipient NPIs. Public Medicare Part D data also shows 13 claims for Kisqali by this doctor in 2024.
These records do not establish that a payment influenced prescribing or medical care.
Separate record types
Research & Ownership
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $245.62 | 20.0% | 7 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $136.62 | 11.1% | 9 | 2025 |
| Aveo Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $79.95 | 6.5% | 1 | 2025 |
| SOBI, INC | Unresolved — no canonical attribution shown | $78.48 | 6.4% | 2 | 2025 |
| Celgene Corporation | Unresolved — no canonical attribution shown | $65.55 | 5.3% | 3 | 2025 |
| GENZYME CORPORATION | Unresolved — no canonical attribution shown | $61.28 | 5.0% | 2 | 2025 |
| Daiichi Sankyo Inc. | Unresolved — no canonical attribution shown | $55.18 | 4.5% | 2 | 2025 |
| Eisai Inc. | Unresolved — no canonical attribution shown | $41.78 | 3.4% | 2 | 2025 |
| Takeda Pharmaceuticals U.S.A., Inc. | Unresolved — no canonical attribution shown | $37.69 | 3.1% | 2 | 2025 |
| Myriad Genetic Laboratories, Inc. | Unresolved — no canonical attribution shown | $36.44 | 3.0% | 1 | 2025 |
| Astellas Pharma US Inc | Unresolved — no canonical attribution shown | $33.95 | 2.8% | 1 | 2025 |
| PharmaEssentia USA Corporation | Unresolved — no canonical attribution shown | $32.21 | 2.6% | 1 | 2025 |
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $29.83 | 2.4% | 1 | 2025 |
| PUMA BIOTECHNOLOGY, INC. | Unresolved — no canonical attribution shown | $29.64 | 2.4% | 1 | 2025 |
| Caris MPI, Inc. | Unresolved — no canonical attribution shown | $29.22 | 2.4% | 1 | 2025 |
| SpringWorks Therapeutics, Inc. | Unresolved — no canonical attribution shown | $27.09 | 2.2% | 1 | 2025 |
| TerSera Therapeutics LLC | Unresolved — no canonical attribution shown | $26.35 | 2.1% | 1 | 2025 |
| Exelixis Inc. | Unresolved — no canonical attribution shown | $26.04 | 2.1% | 1 | 2025 |
| Incyte Corporation | Unresolved — no canonical attribution shown | $25.68 | 2.1% | 1 | 2025 |
| Gilead Sciences, Inc. | Unresolved — no canonical attribution shown | $23.25 | 1.9% | 1 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $22.12 | 1.8% | 1 | 2025 |
| Stemline Therapeutics Inc. | Unresolved — no canonical attribution shown | $21.90 | 1.8% | 1 | 2025 |
| GlaxoSmithKline, LLC. | Unresolved — no canonical attribution shown | $21.36 | 1.7% | 1 | 2025 |
| Iovance Biotherapeutics, Inc. | Unresolved — no canonical attribution shown | $20.29 | 1.6% | 1 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $18.99 | 1.6% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $1,146.56 | 45 |
| Education | $79.95 | 1 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| ENHERTU Normalized: enhertu |
Biological, Drug | AstraZeneca Pharmaceuticals LP, Daiichi Sankyo Inc. | $202.61 | 5 | 2025 |
Source payment records
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| CALQUENCE Normalized: calquence |
Drug | AstraZeneca Pharmaceuticals LP | $136.37 | 2 | 2025 |
Source payment records
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| TAGRISSO Normalized: tagrisso |
Drug | AstraZeneca Pharmaceuticals LP | $133.83 | 2 | 2025 |
Source payment records
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| LYNPARZA Normalized: lynparza |
Drug | AstraZeneca Pharmaceuticals LP | $113.55 | 1 | 2025 |
Source payment records
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| FOTIVDA Normalized: fotivda |
Drug | Aveo Pharmaceuticals, Inc. | $79.95 | 1 | 2025 |
Source payment records
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| Doptelet Normalized: doptelet |
Drug | SOBI, INC | $78.48 | 2 | 2025 |
Source payment records
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| KISQALI Normalized: kisqali |
Drug | Novartis Pharmaceuticals Corporation | $74.85 | 4 | 2025 |
Source payment records
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| REBLOZYL Normalized: reblozyl |
Biological | Celgene Corporation | $65.55 | 3 | 2025 |
Source payment records
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| SARCLISA Normalized: sarclisa |
Biological | GENZYME CORPORATION | $61.28 | 2 | 2025 |
Source payment records
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| Lenvima Normalized: lenvima |
Drug | Eisai Inc. | $41.78 | 2 | 2025 |
Source payment records
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| NINLARO Normalized: ninlaro |
Drug | Takeda Pharmaceuticals U.S.A., Inc. | $37.69 | 2 | 2025 |
Source payment records
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| PRECISETUMOR Normalized: precisetumor |
Device | Myriad Genetic Laboratories, Inc. | $36.44 | 1 | 2025 |
Source payment records
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| Vyloy Normalized: vyloy |
Drug | Astellas Pharma US Inc | $33.95 | 1 | 2025 |
Source payment records
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| Fabhalta Normalized: fabhalta |
Drug | Novartis Pharmaceuticals Corporation | $32.85 | 2 | 2025 |
Source payment records
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| BESREMI Normalized: besremi |
Drug | PharmaEssentia USA Corporation | $32.21 | 1 | 2025 |
Source payment records
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| KEYTRUDA Normalized: keytruda |
Biological | Merck Sharp & Dohme LLC | $29.83 | 1 | 2025 |
Source payment records
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| WELIREG Normalized: welireg |
Drug | Merck Sharp & Dohme LLC | $29.83 | 1 | 2025 |
Source payment records
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| DATROWAY Normalized: datroway |
Drug | Daiichi Sankyo Inc. | $29.69 | 1 | 2025 |
Source payment records
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| NERLYNX Normalized: nerlynx |
Drug | PUMA BIOTECHNOLOGY, INC. | $29.64 | 1 | 2025 |
Source payment records
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| MI CANCER SEEK Normalized: mi cancer seek |
Device | Caris MPI, Inc. | $29.22 | 1 | 2025 |
Source payment records
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| SCEMBLIX Normalized: scemblix |
Drug | Novartis Pharmaceuticals Corporation | $28.92 | 3 | 2025 |
Source payment records
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| OGSIVEO Normalized: ogsiveo |
Drug | SpringWorks Therapeutics, Inc. | $27.09 | 1 | 2025 |
Source payment records
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| Quzyttir Normalized: quzyttir |
Drug | TerSera Therapeutics LLC | $26.35 | 1 | 2025 |
Source payment records
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| CABOMETYX Normalized: cabometyx |
Drug | Exelixis Inc. | $26.04 | 1 | 2025 |
Source payment records
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| JAKAFI Normalized: jakafi |
Drug | Incyte Corporation | $25.68 | 1 | 2025 |
Source payment records
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| NIKTIMVO Normalized: niktimvo |
Drug | Incyte Corporation | $25.68 | 1 | 2025 |
Source payment records
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| Trodelvy Normalized: trodelvy |
Drug | Gilead Sciences, Inc. | $23.25 | 1 | 2025 |
Source payment records
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| ELAHERE Normalized: elahere |
Drug | ABBVIE INC. | $22.12 | 1 | 2025 |
Source payment records
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| Orserdu Normalized: orserdu |
Drug | Stemline Therapeutics Inc. | $21.90 | 1 | 2025 |
Source payment records
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| OJJAARA Normalized: ojjaara |
Drug | GlaxoSmithKline, LLC. | $21.36 | 1 | 2025 |
Source payment records
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| Amtagvi Normalized: amtagvi |
Drug | Iovance Biotherapeutics, Inc. | $20.29 | 1 | 2025 |
Source payment records
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| JAYPIRCA Normalized: jaypirca |
Drug | Lilly USA, LLC | $18.99 | 1 | 2025 |
Source payment records
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| VERZENIO Normalized: verzenio |
Drug | Lilly USA, LLC | $18.99 | 1 | 2025 |
Source payment records
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* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
| Open Payments product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| JAKAFI jakafi |
2025 | Jakafi | 2024 | 91 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| KISQALI kisqali |
2025 | Kisqali | 2024 | 13 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| TAGRISSO tagrisso |
2025 | Tagrisso | 2024 | 14 Beneficiary count suppressed |
exact normalized | Medicare Part D |
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
Drugs reported in other payments from the same company that also appear in Medicare Part D
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
| Paying company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | TAGRISSO open payments reported associated product |
CMS Open Payments — General Payments 5285 supporting records · 2776 recipient NPIs · example record 1206131546 |
Tagrisso · 2024 Exact normalized brand match · 1 Part D row |
14 | suppressed by CMS |
| Incyte Corporation Exact reporting entity; no affiliate inference |
2025 | JAKAFI open payments reported associated product |
CMS Open Payments — General Payments 14854 supporting records · 6477 recipient NPIs · example record 1225959940 |
Jakafi · 2024 Exact normalized brand match · 1 Part D row |
91 | suppressed by CMS |
| Novartis Pharmaceuticals Corporation Exact reporting entity; no affiliate inference |
2025 | KISQALI open payments reported associated product |
CMS Open Payments — General Payments 31637 supporting records · 7959 recipient NPIs · example record 1200004789 |
Kisqali · 2024 Exact normalized brand match · 1 Part D row |
13 | suppressed by CMS |
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Public Medicare Part D data
Provider-and-drug rows loaded for 2024
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Jakafi | Ruxolitinib Phosphate | 91 | suppressed |
| Anastrozole | Anastrozole | 59 | 20 |
| Letrozole | Letrozole | 45 | 14 |
| Exemestane | Exemestane | 29 | suppressed |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 26 | suppressed |
| Dexamethasone | Dexamethasone | 25 | 12 |
| Ondansetron Odt | Ondansetron | 24 | 15 |
| Revlimid | Lenalidomide | 24 | suppressed |
| Hydroxyurea | Hydroxyurea | 20 | suppressed |
| Everolimus | Everolimus | 18 | suppressed |
| Acyclovir | Acyclovir | 15 | suppressed |
| Fentanyl | Fentanyl | 14 | suppressed |
| Lenalidomide | Lenalidomide | 14 | suppressed |
| Tagrisso | Osimertinib Mesylate | 14 | suppressed |
| Imatinib Mesylate | Imatinib Mesylate | 13 | suppressed |
| Kisqali | Ribociclib Succinate | 13 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 11 | suppressed |
| Sucralfate | Sucralfate | 11 | suppressed |
Timeline
Payment and prescribing data by year
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $1,226.51 · 46 records | AstraZeneca Pharmaceuticals LP | Amtagvi, BESREMI, CABOMETYX, CALQUENCE, DATROWAY, Doptelet, ELAHERE, ENHERTU, FOTIVDA, Fabhalta, JAKAFI, JAYPIRCA, KEYTRUDA, KISQALI, LYNPARZA, Lenvima, MI CANCER SEEK, NERLYNX, NIKTIMVO, NINLARO, OGSIVEO, OJJAARA, Orserdu, PRECISETUMOR, Quzyttir, REBLOZYL, SARCLISA, SCEMBLIX, TAGRISSO, Trodelvy, VERZENIO, Vyloy, WELIREG | 3 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Jakafi play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with AstraZeneca Pharmaceuticals LP?
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error